Product image of Mikafungin Accord (Micafungin) supplied by GNH India

Mikafungin Accord

Active Ingredient:
Micafungin
Origin:
EU

Mikafungin Accord (Micafungin)

Micafungin, the active ingredient in Mikafungin Accord, is an echinocandin presented as an injectable solution for intravenous use. It treats systemic fungal infections such as invasive candidiasis, esophageal candidiasis, Candida peritonitis, and febrile neutropenia in immunocompromised patients.

GNH India supplies Mikafungin Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Accord Healthcare Polska Sp. Z O.O.

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Indications & Clinical Uses

  • Micafungin is an echinocandin antifungal that targets fungal cell wall synthesis.
  • Invasive candidiasis: clears bloodstream Candida infections in high‑risk patients.
  • Esophageal candidiasis: resolves mucosal Candida infection of the esophagus.
  • Candida peritonitis: treats intra‑abdominal Candida infection.
  • Febrile neutropenia: provides empirical antifungal coverage in neutropenic individuals.

How It Works

  • Micafungin inhibits the fungal enzyme 1,3‑β‑D‑glucan synthase, preventing synthesis of 1,3‑β‑D‑glucan, an essential component of the cell wall. The resulting defect weakens the wall, leading to osmotic instability and fungicidal activity against susceptible Candida species.

Side Effects

Common Side Effects

  • Infusion‑related reactions such as flushing or chills.
  • Fever or rigors during administration.
  • Nausea or vomiting.
  • Headache.
  • Elevated liver enzymes.
  • Rash or pruritus.

Serious or Rare Side Effects

  • Severe hepatic failure or jaundice.
  • Anaphylactic or severe hypersensitivity reactions.
  • Acute renal dysfunction.
  • Neutropenia or other hematologic abnormalities.
  • Cardiac arrhythmias.
  • Unexplained sudden death.

Precautions & Warnings

  • Precautions should be taken when using Micafungin injectable solution.
  • Renal impairment: monitor kidney function during therapy.
  • Hepatic impairment: assess liver enzymes before and during treatment.
  • Concomitant azole antifungals: avoid potential pharmacokinetic interactions.
  • Pregnancy: use only if potential benefit justifies potential risk to the fetus.
  • Infusion rate: administer over the recommended period to reduce infusion‑related reactions.
  • Store at 2‑8 °C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungin may interact with several drug classes.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase micafungin exposure.
  • Strong CYP3A4 inducers (e.g., rifampin): may reduce micafungin exposure.
  • Co‑administration with other echinocandins: risk of additive toxicity.

Moderate Interactions (Monitor Closely)

  • Azole antifungals (e.g., fluconazole): monitor for additive antifungal effect.
  • Immunosuppressants (e.g., tacrolimus): observe drug levels.
  • Warfarin: monitor INR for potential anticoagulant effect changes.

Frequently Asked Questions

Mikafungin Accord is an intravenous echinocandin indicated for the treatment of invasive candidiasis, esophageal candidiasis, Candida peritonitis, and for empirical antifungal therapy in patients with febrile neutropenia. It is used in hospitals and specialty centres to manage serious systemic fungal infections.

Micafungin inhibits the fungal enzyme 1,3‑β‑D‑glucan synthase, which is essential for synthesising 1,3‑β‑D‑glucan, a key structural component of the fungal cell wall. By blocking this pathway, the drug weakens the cell wall, causing osmotic instability and leading to fungal cell death.

The dosing regimen for Mikafungin Accord is determined by the prescribing clinician based on the specific infection, patient weight, renal and hepatic function, and other clinical factors. The product is supplied as an injectable solution for intravenous infusion under medical supervision.

Safety data for micafungin in pregnancy and lactation are limited. The product should be used only when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision should be made by the treating physician.

To order Mikafungin Accord, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain logistics) and necessary import documentation.

Compared with azole antifungals such as fluconazole, micafungin offers a different mechanism—cell‑wall inhibition—resulting in activity against many azole‑resistant Candida species. Unlike other echinocandins, micafungin has a relatively low potential for drug‑drug interactions, but clinicians still assess individual patient factors when choosing therapy.

Mikafungin Accord must be stored refrigerated at 2 °C to 8 °C. The vial should be kept in its original packaging, protected from light, and should not be frozen or shaken. Prior to administration, the solution is reconstituted according to the product label and used within the recommended time frame.

The product is supplied as a sterile injectable solution for intravenous infusion. After reconstitution, the dose is diluted in an appropriate IV fluid and infused over the time period specified by the prescribing information, typically 30‑60 minutes, under clinical supervision.

Serious adverse events include severe hepatic injury, anaphylactic or severe hypersensitivity reactions, acute renal dysfunction, and significant hematologic abnormalities such as neutropenia. Patients should be monitored for signs of liver dysfunction, allergic reactions, and changes in renal or blood parameters throughout therapy.

Mikafungin Accord is contraindicated in individuals with a known hypersensitivity to micafungin or any component of the formulation. Caution is advised in patients with severe hepatic impairment, and the drug should be avoided in pregnant women unless the expected benefit justifies the potential risk.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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